WO2011043743A1 - Device and method for uterus endoscopy and trans cervical fallopian tube re-canalization (t-ftr) - Google Patents

Device and method for uterus endoscopy and trans cervical fallopian tube re-canalization (t-ftr) Download PDF

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Publication number
WO2011043743A1
WO2011043743A1 PCT/SY2009/000007 SY2009000007W WO2011043743A1 WO 2011043743 A1 WO2011043743 A1 WO 2011043743A1 SY 2009000007 W SY2009000007 W SY 2009000007W WO 2011043743 A1 WO2011043743 A1 WO 2011043743A1
Authority
WO
WIPO (PCT)
Prior art keywords
canalization
orifice
solution
valve
tube
Prior art date
Application number
PCT/SY2009/000007
Other languages
French (fr)
Inventor
Youssef Zeitoun
Original Assignee
Youssef Zeitoun
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Youssef Zeitoun filed Critical Youssef Zeitoun
Publication of WO2011043743A1 publication Critical patent/WO2011043743A1/en

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Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/42—Gynaecological or obstetrical instruments or methods
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/00064—Constructional details of the endoscope body
    • A61B1/00071—Insertion part of the endoscope body
    • A61B1/0008—Insertion part of the endoscope body characterised by distal tip features
    • A61B1/00082—Balloons
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/00064—Constructional details of the endoscope body
    • A61B1/00071—Insertion part of the endoscope body
    • A61B1/0008—Insertion part of the endoscope body characterised by distal tip features
    • A61B1/00094—Suction openings
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/012—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor characterised by internal passages or accessories therefor
    • A61B1/015—Control of fluid supply or evacuation
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/012—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor characterised by internal passages or accessories therefor
    • A61B1/018—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor characterised by internal passages or accessories therefor for receiving instruments
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/04—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor combined with photographic or television appliances
    • A61B1/05—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor combined with photographic or television appliances characterised by the image sensor, e.g. camera, being in the distal end portion
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/303—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor for the vagina, i.e. vaginoscopes
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/00163—Optical arrangements
    • A61B1/00188—Optical arrangements with focusing or zooming features
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/42—Gynaecological or obstetrical instruments or methods
    • A61B2017/4233—Operations on Fallopian tubes, e.g. sterilization

Definitions

  • This device was invented which features a great significance in re-canalization using balone needless to surgical intervention (Laparoscopic surgery ) via the cervical canal , and this device helps us through a specific orifice , during re-canalalization ,for performing acontrast-media imaging, as the case of cardiologic catheter .
  • this device is capable to investigate the uterus cavity to detect any adhesions ,polyps, or fibromas ....
  • the device is a central tube of 8 and 10 cm size , suitable for entry into cervix os , fitted with an optical camera at its end that can view the complete uterus cavity through a simple maneuver , and is fitted from the external side with five outlets that all discharge in a streamline form in the central canal , valves on these outlets are fitted to control inlet and outlet materials movement.
  • this orifice is of help for the following interventions: - To collect a uterine biopsy.
  • the lower central tube is entered to the uterine through the cervix to the cervical os ( Fllope ) using the magnifying lens with the light source .
  • the guide wire can be entered through any other os to facilitate re- canalization process .
  • a contrast Media - Imaging can be in parallel with the balone or guide wire entering the cervix .

Abstract

The device is used in uterus endoscopy and transcervical fallopian tube re-canalization. The latter is done by non-invasively feeding a guidewire or a balloon into the tube to mechanically unblock and recannulate the occluded lumen. The device is made up of a central tube (5) fitted with an optical camera and four additional access ports (1, 2, 3, 4) leading into a plurality of channels arranged within the device used for fluid management aϊid instrument guiding. Flow rate in fluid management channels is controlled by valves.

Description

Device and method for uterus endoscopy and trans cervical fallopian tube re-canalization.
(T-FTR) 1 - The technical state of the invention:
Due to the significance of re-canalization process to treat infertility caused by adhesion, doctors attempted to invent different method as a means to approach tubes and re- canalization , then laparoscopic means , then attempts were surgical interventions (classical ones) ,then laparoscopic means, then attempting a simple canule to insure trans-cervical tube entry.
This device was invented which features a great significance in re-canalization using balone needless to surgical intervention (Laparoscopic surgery ) via the cervical canal , and this device helps us through a specific orifice , during re-canalalization ,for performing acontrast-media imaging, as the case of cardiologic catheter . this device is capable to investigate the uterus cavity to detect any adhesions ,polyps, or fibromas ....
Technical Description of the Invention :
The device is a central tube of 8 and 10 cm size , suitable for entry into cervix os , fitted with an optical camera at its end that can view the complete uterus cavity through a simple maneuver , and is fitted from the external side with five outlets that all discharge in a streamline form in the central canal , valves on these outlets are fitted to control inlet and outlet materials movement.
Outlets Description :
1 -First orifice:(l) figure (1)
With the a valve for the solution entry or for contrast media- imaging by injecting the contrast media through the orifice .or for putting a pressure watch.
2- The second orifice: (2) figure (1)
With the solution valve (discharge valve)
3- Third orifice (3)figure (1)
With a valve for entering the balone or any other surgical material from the cervical os to uterin then into the tubes .this orifice is of help for the following interventions: - To collect a uterine biopsy.
- For polyp excision.
- To treat uterus adhesions.
- to bring the balone into the fallope for re-canalization . 4- Forth Orifice : (4)Figure (1)
With a vulve for the entry of the guide wire into tubes to facilitate re-canalization procedure with intensive adhesions.
5- Fifth Orifice (Central): (5) figure (1)
For positioning of an endoscope or camera connected to a light source to detect the cervical canal ,uterus cavity , the tubes orifices . Mechanism of Equipment :
1 - The lower central tube is entered to the uterine through the cervix to the cervical os ( Fllope ) using the magnifying lens with the light source .
2 - A solution with an antibiotic are injected through the obstructed tubes .
3 - We use one of the orifices for entering the balone , with the aid of the magnifying lens , and then re-canalization .
4 - In case of intensive adhesions , the guide wire can be entered through any other os to facilitate re- canalization process .
5 - A contrast Media - Imaging can be in parallel with the balone or guide wire entering the cervix .
6 - Following to re - canalization process , a solution with antibiotic are injected through of the orifices to prevent internal infection , the injected solution pressure is regulated through using solution pressure gauge fixed on one of the orifices .

Claims

Claims to be protected :
1- The device which made up of : 1 - Central upper tube
2 - Central lower tube
The device recognize by five entrance for endoscopy without need surgery
2- The device as claim(l) First orifice:(l) figure (1)
With the a valve for the solution entry or for contrast media- imaging by injecting the contrast media through the orifice .or for putting a pressure watch.
3- The device as claim(l) The second orifice: (2) figure (1) With the solution valve (discharge valve)
4- The device as claim (1) - Third orifice (3)figure (1)
With a valve for entering the balone or any other surgical material from the cervical os to uterin then into the tubes .this orifice is of help for the following interventions: - To collect a uterine biopsy.
- For polyp excision.
- To treat uterus adhesions.
- to bring the balone into the fallope for re-canalization
5- The device as claim(l) Fourth Orifice :With a valve for the entry of the guide wire into the tubes to facilitate re-canalization procedure with intensive adhesions .6- The device as claim(l) Fifth Orifice ( Central ) : For positioning of an endoscope or camera connected to a light source to detect the cervical canal , uterus cavity , the tubes orifices.
7- The device as claim(l) where that lower tube has more than one diameter .
8- The device as claim(l) The device use as endoscopy and fallopian tube re-canalization.
9- The device as claim(l)The operate is going as the following: 1 - The lower central tube is entered to the uterine through the cervix to the cervical os ( Valope ) using the magnifying lens with the light source .
2 - A solution with an antibiotic are injected through the obstructed tubes .
3 - We use one of the orifices for entering the balone , with the aid of the magnifying lens , and then re-canaliztion .
4 - In case of intensive adhesions , the guide wire can be entered through any other os to facilitate re- canalization process .
5 - A contrast Media - Imaging can be in parallel with the balone or guide wire entering the cervix .
6 - Following to re - canalization process , a solution with antibiotic are injected through of the orifices to prevent internal infection , the injected solution pressure is regulated through using solution pressure gauge fixed on one of the orifices .
PCT/SY2009/000007 2009-10-05 2009-12-08 Device and method for uterus endoscopy and trans cervical fallopian tube re-canalization (t-ftr) WO2011043743A1 (en)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
SY824309 2009-10-05
SY8243 2009-10-05

Publications (1)

Publication Number Publication Date
WO2011043743A1 true WO2011043743A1 (en) 2011-04-14

Family

ID=43857017

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/SY2009/000007 WO2011043743A1 (en) 2009-10-05 2009-12-08 Device and method for uterus endoscopy and trans cervical fallopian tube re-canalization (t-ftr)

Country Status (1)

Country Link
WO (1) WO2011043743A1 (en)

Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2000032263A1 (en) * 1998-11-30 2000-06-08 Medical Access Systems, Llc Medical device introduction system including medical introducer having a plurality of access ports
US20050240211A1 (en) * 2004-04-21 2005-10-27 Stefan Sporri Apparatus and method for selectably treating a fallopian tube
US20060047185A1 (en) * 2004-08-27 2006-03-02 Cemal Shener Tissue resecting system

Patent Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2000032263A1 (en) * 1998-11-30 2000-06-08 Medical Access Systems, Llc Medical device introduction system including medical introducer having a plurality of access ports
US20050240211A1 (en) * 2004-04-21 2005-10-27 Stefan Sporri Apparatus and method for selectably treating a fallopian tube
US20060047185A1 (en) * 2004-08-27 2006-03-02 Cemal Shener Tissue resecting system

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